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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Folia Medica Indonesiana
wihasto suryaningtyas
Universitas Airlangga
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Social Sciences Other

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Profile of Pediatric Central Nervous System (CNS) Tumor Patients at Dr. Soetomo General Academic Hospital Surabaya in 2017-2023 Wirawan, Putu Tanisya Putri; Fauziah, Dyah; Suryaningtyas, Wihasto; Gunawan, Prastiya Indra
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i3.55861

Abstract

Central nervous system (CNS) tumors are a heterogeneous group in any region of the brain and spinal cord. They causes significant morbidity and mortality. CNS tumor is diagnosed based on clinical and radiological findings, but a definitive diagnosis requires histopathology examination. However, the demographic and histopathological profile of pediatric CNS tumor is rarely studied in Indonesia. The study aims to analyze the profiles of pediatric CNS tumor patients based on demographic and histopathological characteristics. This retrospective descriptive study was conducted using secondary data from a medical records of all pediatric CNS tumor patients at Dr. Soetomo General Academic Hospital from January 2017 to December 2023. The results show a total of 165 cases were included in this study, 60% occurred in male and 40% in female. The majority of the patients aged 5-8 years old (30.3%) and tumors commonly located within posterior fossa (21.4%). WHO grade I pilocytic astrocytoma (24.2%) is the most common histopathological subtype for benign CNS tumors followed by WHO grade IV medulloblastoma (20.6%) for malignant CNS tumor. Thus, pediatric CNS tumor was found to be more frequent in males than females, with the peak occurring in 5-8 years old. The most common location was within posterior fossa. The most common histopathological subtype was WHO grade I pilocytic astrocytoma.
Case Report: Cranial Vault Reduction Cranioplasty for Severe Hydrocephalus Suryaningtyas, Wihasto; Parenrengi, Muhammad Arifin
Folia Medica Indonesiana Vol. 56, No. 2
Publisher : Folia Medica Indonesiana

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Extreme hydrocephalic macrocephaly is still encountered in developing countries due to delayed treatment, rapidly progressing hydrocephalus and family socioeconomic problems. Reduction cranioplasty was used with several techniques to address the issue. The study aimed to determine the safety and feasibility of barrel-stave technique for reducing the size of extreme hydrocephalic macrocephaly. Three post-diversion patients underwent surgical reconstruction. Children with head circumference more or equal to two standard deviation above mean on given age, no active wound at the area of surgery, presentation of sufficient "potential removable fluid” that allows dura reduction and no active shunt infection were eligible. The surgical procedure includes modified pi, barrel-stave technique, and diversion of the cerebrospinal fluid and subdural collection. Clinical data were recorded. Three patients with age range of 2 month to 2 years old underwent the surgery. Two patients had shunt implanted at least 1 month before the surgery and 1 patient had an ETV procedure 3 months before the reduction. The frontal-occipital circumference before surgery ranged from 50 to 63 cm. The maximum reduction that could be achieved was 15 cm. One patient (2 months old) died within 24 hour due to failure to cope with excessive blood loss. Two patients were followed up for 3 months and 6 months without complications. Reduction cranioplasty using barrel-stave techniques is an option for children with extreme large head that poses a mechanical or cosmetic problem. Risk and pitfalls should be considered and taken care meticulously, especially the age and blood loss.
DELAYED MANAGEMENT OF BILATERAL MASSIVE EPIDURAL HEMATOMA INVOLVING PARASAGITTAL SINUS: A COMPREHENSIVE SCOPING REVIEW FROM INDONESIAN PERSPECTIVES Suryaningtyas, Wihasto; Armando, Alivery Raihanada; Ramadhan, Candra Dwantara; Kamaruddin, Muhammad Fadhil; Zamzam, Ramadhani Rizki; Nathania, Nathania
Folia Medica Indonesiana Vol. 61, No. 2
Publisher : Folia Medica Indonesiana

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Introduction: Vertex epidural hematomas (VEDH) involving the superior sagittal sinus (SSS) are rare, critical injuries often complicated by massive venous hemorrhage. This study evaluates the clinical outcomes of VEDH and identifies systemic barriers contributing to treatment delays in Low- and Middle-Income Countries (LMICs). Methods: We present a case series of three patients managed at an Indonesian tertiary center alongside a scoping review of 33 studies. Delayed management was defined as prolonged injury-to-surgery intervals resulting from referral inefficiencies and transport logistics. Results: The series highlights a unique case of a 66-year-old male with bilateral VEDH and SSS laceration who underwent surgery 32 hours post-injury. Despite massive intraoperative blood loss (6000cc) requiring aggressive transfusion and sinus repair, the patient achieved a good functional recovery. The scoping review identified primary barriers to timely care, including geographical constraints, lack of organized emergency transport, and a scarcity of neurosurgical specialists and CT scanners in rural regions. Conclusion: While delayed presentation exacerbates surgical risks, aggressive management via bicoronal craniotomy remains effective. Improving prehospital infrastructure and referral networks is essential to reducing preventable delays in neurotrauma management.
Co-Authors Armando, Alivery Raihanada DYAH FAUZIAH, DYAH Kamaruddin, Muhammad Fadhil Nathania Nathania, Nathania Parenrengi, Muhammad Arifin Prastiya Indra Gunawan Ramadhan, Candra Dwantara Wirawan, Putu Tanisya Putri Zamzam, Ramadhani Rizki